MEKTOVI 15mg Price

Overview

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Name

Trihexyphenidyl Hydrochloride

Precaution

Before starting **Trihexyphenidyl Hydrochloride**, it is crucial for patients to consult their healthcare provider to ensure it is appropriate for their individual health condition. The following precautions should be considered: - **Cardiovascular Issues**: Caution should be exercised in patients with **heart disease**, **hypertension**, or **tachycardia**. Trihexyphenidyl can increase heart rate and may cause **arrhythmias** in susceptible individuals. - **Glaucoma**: Trihexyphenidyl should be avoided in patients with **narrow-angle glaucoma** as it may worsen the condition. Patients with **open-angle glaucoma** should use it cautiously under medical supervision. - **Prostate Issues**: This medication can cause **urinary retention**, so it should be used with caution in individuals with **enlarged prostate** or those prone to **urinary difficulties**. - **Gastrointestinal Disorders**: It may cause **constipation**, especially in older adults, so patients with a history of gastrointestinal issues should be monitored closely. - **Elderly Patients**: Older adults are more likely to experience side effects like **confusion**, **delirium**, or **cognitive impairment**, so the lowest effective dose should be used. - **Pregnancy and Breastfeeding**: **Trihexyphenidyl** is classified as **Category C** during pregnancy, meaning its safety has not been established, and it should only be used when the benefits outweigh the risks. It is not recommended for breastfeeding women, as it can pass into breast milk and affect the infant. - **CNS Effects**: This medication can affect the **central nervous system**, causing **drowsiness**, **dizziness**, or **confusion**, particularly when combined with other CNS depressants, such as alcohol or sedatives.

Indication

**Trihexyphenidyl Hydrochloride** is primarily used to manage symptoms of movement disorders, particularly those associated with: - **Parkinson’s Disease**: It helps control symptoms such as **tremors**, **rigidity**, and **bradykinesia** (slowness of movement) in patients with Parkinson’s disease. It is typically used in conjunction with other Parkinson’s medications, such as **levodopa**. - **Extrapyramidal Symptoms**: It is also used to treat **drug-induced extrapyramidal symptoms**, such as **tremors**, **muscle rigidity**, and **akathisia** caused by antipsychotic medications, specifically those with **dopamine-blocking effects**. - **Dystonia**: It may also be prescribed off-label for the management of **dystonic movements** in certain cases.

Contra indication

**Trihexyphenidyl** should not be used in the following situations: - **Hypersensitivity**: If the patient has a known allergy to **Trihexyphenidyl** or any of its components, the drug should be avoided. - **Angle-Closure Glaucoma**: As this medication has **anticholinergic properties**, it can increase intraocular pressure and worsen **angle-closure glaucoma**, making it contraindicated in this condition. - **Severe GI Obstruction**: Trihexyphenidyl should not be used in patients with **severe gastrointestinal obstructions**, including **ileus**. - **Myasthenia Gravis**: The drug may exacerbate the symptoms of **myasthenia gravis** by impairing neuromuscular transmission, so it should be avoided. - **Urinary Retention**: It should not be used in patients with **urinary retention** or **enlarged prostate** unless closely monitored.

Side Effect

**Trihexyphenidyl** can cause a range of side effects, including both common and serious reactions: - **Common Side Effects**: - **Dry Mouth**: One of the most frequent side effects, which may make swallowing and speaking uncomfortable. - **Blurred Vision**: Occurs due to the medication’s anticholinergic effects on the eyes. - **Constipation**: Patients should be advised to drink plenty of fluids and consider a high-fiber diet. - **Drowsiness and Dizziness**: Can cause sedation, leading to an increased risk of falls, especially in the elderly. - **Urinary Retention**: Difficulty urinating or increased difficulty in voiding urine can occur. - **Serious Side Effects**: - **Confusion and Hallucinations**: This is particularly common in older adults and those with underlying cognitive impairments. - **Tachycardia**: An increased heart rate may be noted, which can be problematic in patients with heart disease. - **Severe Constipation**: Can result in **bowel obstruction**, especially in older adults. - **Hot, Dry Skin**: Symptoms of **hyperthermia** and reduced sweating, potentially leading to **heat stroke**. - **Severe Allergic Reactions**: Rarely, **rash**, **swelling**, or difficulty breathing may occur, indicating a severe allergy. If any of these serious side effects occur, immediate medical attention should be sought.

Pregnancy Category ID

3

Mode of Action

**Trihexyphenidyl Hydrochloride** is an **anticholinergic** (also called **antimuscarinic**) drug that works by blocking the action of acetylcholine, a neurotransmitter involved in muscle movement and other bodily functions. In particular: - **Centrally Acting Anticholinergic**: Trihexyphenidyl works centrally in the brain by blocking muscarinic receptors in the **central nervous system**. This reduces the action of acetylcholine, which is overactive in Parkinson’s disease, leading to symptoms such as tremors and rigidity. - **Reduction of Extrapyramidal Symptoms**: It specifically helps reduce **extrapyramidal symptoms** caused by **dopamine-blocking drugs** (such as antipsychotics). By inhibiting the cholinergic effects, it balances the dopamine and acetylcholine levels in the brain, improving movement control. In patients with Parkinson’s disease, **Trihexyphenidyl** helps **improve motor function**, reducing symptoms like rigidity and bradykinesia (slow movement). The drug works primarily by restoring the balance between dopamine and acetylcholine in the brain’s basal ganglia, which controls motor movements.

Interaction

**Trihexyphenidyl Hydrochloride** may interact with other medications, increasing the risk of adverse effects: - **CNS Depressants**: Combining Trihexyphenidyl with **alcohol**, **sedatives**, or **antihistamines** can lead to increased **sedation**, **dizziness**, and **confusion**. This combination should be avoided or carefully monitored. - **Anticholinergic Medications**: Combining Trihexyphenidyl with other **anticholinergic drugs** (e.g., **antihistamines**, **antidepressants**) can intensify the **anticholinergic effects**, such as **dry mouth**, **blurred vision**, **urinary retention**, and **constipation**. - **Levodopa**: While Trihexyphenidyl can be used in conjunction with **levodopa** to manage Parkinson’s disease, adjustments in dosing may be necessary to avoid **dyskinesias** or motor fluctuations. - **Antipsychotic Medications**: **Antipsychotic medications** that block dopamine receptors may have their **extrapyramidal side effects** exacerbated when used with **Trihexyphenidyl**, although it is often used to counteract these symptoms. Patients should inform their healthcare provider about all the medications they are taking to prevent potential interactions.

Pregnancy Category Note

Information not available

Adult Dose

For adults, the typical starting dose of **Trihexyphenidyl Hydrochloride** is: - **Initial Dose**: Begin with **1-2 mg** taken once or twice daily. - **Maintenance Dose**: The dose can be gradually increased to a usual maintenance range of **6-10 mg/day**, divided into two or three doses, depending on the patient’s response and tolerance. - **Maximum Dose**: The maximum recommended dose is **10-15 mg/day**. The dose should be individualized, with adjustments based on efficacy and tolerance.

Child Dose

For pediatric patients, **Trihexyphenidyl** is typically not recommended unless prescribed by a healthcare provider for specific conditions like **Parkinsonism** or **extrapyramidal symptoms**. - **For Children Under 12 Years**: The starting dose is usually **0.5-1 mg/day**, which can be gradually increased based on response, but the total dose should not exceed **6 mg/day**. Pediatric dosing should be carefully monitored by a healthcare professional due to the risk of side effects like confusion, urinary retention, and sedation. It is essential for patients of all ages to **consult a healthcare provider** before using **Trihexyphenidyl Hydrochloride** to determine the correct dose and ensure it is the right treatment option for their condition.

Renal Dose

For patients with **renal impairment**, Trihexyphenidyl should be used with caution. Since it is not significantly cleared by the kidneys, dose adjustments may not be required. However, the medication should be used carefully, and renal function should be monitored to prevent accumulation or worsening side effects.

Administration

Information not available